Couples Game Show - Individual Application

Welcome to the application for Couples Game Show (wt)! We look forward to learning more about you and your Significant Other.

If you have any questions regarding the application, please contact Caitlyn Audet (caudet@bunim-murray.com).

Please click NEXT to submit for casting consideration.

CALIFORNIA CONSUMER PRIVACY ACT NOTICE OF COLLECTION

If you are a California resident and have or are providing personal information to Bunim/Murray Productions (BMP), the information may be protected by the California Consumer Protection Act (CCPA). We are providing the following details regarding the Personal Information that we collect and use about California residents that contact us in connection with our products or business. We supply this notice information consistent with the CCPA, which provides for a privacy notice describing the categories of Personal Information collected and used.

Under the CCPA, “Personal Information” is information that identifies, relates to, or could reasonably be linked with a particular California resident or household.

Categories of “Personal Information” that BMP may obtain from you are listed here.

Categories of sources of the Personal Information are listed here.

Categories of commercial purposes for which BMP may use your Personal Information are listed here.

BMP does not sell your Personal Information.

BMP does not provide your Personal Information to third parties except as described here.

If you are a California resident and you have questions about your Personal Information collected and used by BMP, or to request that we delete your Personal Information, please go to our Contact Us page and fill out the form so we can respond to your inquiry. Alternatively, you may call our toll-free number, (833) 932-3279, and leave a message.

If you are a BMP employee, there are additional categories of Personal Information that BMP collects and additional uses relating to your employment. If you have any questions regarding this Personal Information or the CCPA protections, please contact the BMP Human Resources Director or you may use our toll-free number, (833) 932-3279.

For a complete copy of our CCPA Privacy Policy, please see here.

For persons with disabilities, please contact us at (833) 932-3279 for information on how to access this notice in an alternative format.

* In order to continue to the next step, please read and approve the Terms of Use

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Please fill in all the mandatory fields (marked by *)

* First Name

* Last Name

* Date of Birth

* For verification purposes only pursuant to 18 U.S.C. §§ 2256 et seq.

* Mobile Number

Additional Number

* Address

* City

* Country

* Postal Code

* Email

* Retype your Email

Secondary Email:

IF YOU DO NOT HAVE ANY OF THE FOLLOWING, WRITE N/A.

* Instagram:

* FaceBook Page

* Twitter:

DO NOT duplicate your info here. Please list YOUR SIGNIFICANT OTHER'S full name.

* Your Significant Other's First Name: (Do not write your name again)

* Your Significant Other's Last Name: (Do not write your name again)

Please enter YOUR SIGNIFICANT OTHER'S email address below:

* Email

* Retype your Email

Please enter YOUR SIGNIFICANT OTHER'S phone number below:

* Mobile Number

* Please enter YOUR SIGNIFICANT OTHER'S date of birth:

* For verification purposes only pursuant to 18 U.S.C. §§ 2256 et seq.

* Upload Face Picture
(Up to 20Mb)

Browse

* Photo of you and your signifiant other smiling TOGETHER (No sunglasses/hats):
(Up to 4Mb)

Browse

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Please fill in all the mandatory fields (marked by *)

1. * Have you or any of your family members ever acted or performed outside of school? If yes, please describe:

2. * Have you ever auditioned for a reality TV show before? If yes, please describe:

3. * What is the current relationship status of you and your partner (married, dating, engaged, etc.) How long have you been together?

4. * Do you have any children? (names and ages*) who do they live with?

* For verification purposes only pursuant to 18 U.S.C. §§ 2256 et seq.

5. * How did you and your partner meet?

6. * Describe the dynamics of your relationship. Would you say that one of you “wears the pants” in the relationship? If yes, describe.

7. * What do you and your partner love most about one another? What drives you crazy about one another?

8. * How are conflicts and disagreements handled within your relationship?

9. * Do either of you have any particular fears/phobias/dislikes? If yes, please list them for each partner.

10. * Do you have any physical restrictions or limitations? Allergies or medical conditions that might prohibit you from participating in a competition?

11. * Have you the two of you ever competed at anything together? How would you describe your dynamic when working together as a team?

12. * Do you know anyone perfect for tv that you would recommend for this casting? If so, please provide their name/contact info or social media link. If not, please write n/a.?

13. * Have you been vaccinated or do you plan to become vaccinated prior to filming?

Please help us get in touch with you. List three people who regularly know where you are and how to get in touch with you:

14. * Person 1 Name:

15. * Person 1 Relation:

16. * Person 1 Phone Number:

17. * Person 2 Name:

18. * Person 2 Relation:

19. * Person 2 Phone Number:

20. * Person 3 Name:

21. * Person 3 Relation:

22. * Person 3 Phone Number:

23. * How did you hear about our casting search?

PART III
PLEASE ANSWER EACH QUESTION BELOW HONESTLY

24. * Is there anything we should know about you that might affect or restrict your ability to participate in this Program? (YES / NO). If so, please explain.

25. * Have you ever been convicted of a misdemeanor or a felony, either as a juvenile or an adult? (YES / NO). If so, please explain and include date, city, state, charge and outcome (e.g., dismissal, conviction, any sentences, etc.) for each incident.

26. * Have you ever been party to a lawsuit or other civil court proceeding? (YES / NO). If so, please explain & include date, city, ST & outcome (e.g., verdict, dismissal, settlement, etc.) for each court proceeding.

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